PEDIATRIC SERVICES OF AMERICA, INC (NPI# 1891740601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891740601 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
18440 Thompson Ct Suite 108 Tinley Park IL 60477-5426 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 7074295551 |
| Practice Fax Number | 7084441278 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 4000177 | IL | Agencies |
| Y | 251J00000X | Nursing Care | 1008101 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| PSA Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609284546 | Pediatric Services of America, Inc | Nursing Care | 7602 Bridgeport Way W Ste 2b, Lakewood, WA 98499-2415 | 2014-07-23 |
| 1720499932 | Pediatric Services of America, Inc | Nursing Care | 55 Main St Unit 350, Norwich, CT 06360-5760 | 2014-05-12 |
| 1598185498 | Pediatric Services of America, Inc | Home Health | 1316 Nw John Jones Dr, Burleson, TX 76028-8040 | 2014-04-18 |
| 1639467327 | Pediatric Services of America, Inc | Nursing Care | 225 Country Club Dr Ste 240, Stockbridge, GA 30281-7339 | 2011-07-14 |
| 1831493790 | Pediatric Services of America, Inc | Nursing Care | 6316 Saint Andrews Rd, Ste A, Columbia, SC 29212-3168 | 2011-01-06 |
| 1285897025 | Pediatric Services of America, Inc | Nursing Care | 400 Interstate North Pkwy Se Ste 1600, Atlanta, GA 30339-5047 | 2008-07-02 |
| 1629000914 | Pediatric Services of America, Inc | Home Health | 126 Integra Breeze Ln Ste 3b, Daytona Beach, FL 32117-5554 | 2006-07-07 |
| 1104215235 | Pediatric Services of America, Inc | Nursing Care | 1115 Elkton Dr, Ste 102, Colorado Springs, CO 80907-8507 | 2015-01-13 |
| 1821410234 | Pediatric Services of America, Inc | Nursing Care | 1544 E 3rd St, Williamsport, PA 17701-5404 | 2014-01-21 |
| 1346556917 | Pediatric Services of America, Inc | Home Health | 3105 Citrus Tower Blvd, Suite A, Clermont, FL 34711-6892 | 2010-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Colorado Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste. 1600, Atlanta, GA 30339-5047 |
| Vermont Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, S, Atlanta, GA 30328 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate N Pkwy Se Ste 1600, Atlanta, GA 30339 |
| Massachusetts Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Indiana Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 310 Technology Pkwy, Norcross, GA 30092 |
| Oklahoma Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | 5834-c Peachtree Corners East, Norcross, GA 30092 |
| Washington State Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste 1600, Atlanta, GA 30339-5047 |
| Street Address |
18440 THOMPSON CT SUITE 108 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417400102 | Chiariello Behavioral Health | Community/Behavioral Health | 18440 Thompson Ct, Suite 207, Tinley Park, IL 60477-5426 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104360700 | Aidpro Health Providers LLC | Nursing Care | 16325 Harlem Ave, Suite 300, Tinley Park, IL 60477-2509 | 2016-12-15 |
| 1558497925 | Howe Center - Unit 4467 | Nursing Care | 7600 183rd St, Unit 4467, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1467588830 | Howe Center - Unit 4468 | Nursing Care | 7600 183rd St, Unit 4468, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1174659551 | Howe Center - Unit 4563 | Nursing Care | 7600 183rd St, Unit 4563, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1700912102 | Howe Center - Unit 4169 | Nursing Care | 7600 183rd St, Unit 4169, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1619003019 | Howe Center - Unit 4170 | Nursing Care | 7600 183rd St, Unit 4170, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1992831382 | Howe Center - Unit 4168 | Nursing Care | 7600 183rd St, Unit 4168, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1710013107 | Howe Center - Unit 4570 | Nursing Care | 7600 183rd St, Unit 4570, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1972639342 | Howe Center - Unit 4561 | Nursing Care | 7600 183rd St, Unit 4561, Tinley Park, IL 60477-3690 | 2007-02-27 |
| 1881720258 | Howe Center - Unit 4562 | Nursing Care | 7600 183rd St, Unit 4562, Tinley Park, IL 60477-3690 | 2007-02-27 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on PEDIATRIC SERVICES OF AMERICA, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.